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informed consent form this form must be returned with questionnaire in order for us to include you in the study. all the information will be kept confidential and no names will be used. respondent id.no: i____________________________________________________________, son / daughter of ___________________________________ declare that i have read and understood the information sheet provide to me regarding the study: prevalence of tobacco and alcohol consumption among fishermen in kakinada city of andhra pradesh” and have clarified any doubts that i had. i also understand that my participation in this study is entirely voluntary and that i am free to withdraw permission to continue to participate at any time without affecting my usual treatment or my legal rights. i understand that my identity will not be revealed in any information released to third parties or published. i voluntarily agree to take part in this study. name: signature: date: i attest that the requirements for informed consent for the research described in this form have been satisfied. i have discussed the research with the participant and explained to him or her in nontechnical terms all of the information contained in this informed consent form, including any risks and adverse reactions that may reasonably be expected to occur. i further certify that i encouraged the participant to ask questions and that all questions asked were answered. all the necessary steps for preventing the transmission of covid 19 are taken by investigator. ___________________________________________________ signature of person obtaining consent (principal investigation)
Letzte Aktualisierung: 2021-01-28
Nutzungshäufigkeit: 1
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